- Complication of systemic TB
- Often compromised host
- Sometimes known TB elsewhere
 
   
           
        
        
        
        
        
          
          
            
  
      
    
    
      
        
            - Sub-acute/chronic pain - most commonly L/S and low thoracic spine, though can affect any segment (TB of spine called Pott's disease)
- Sub-acute fever, chills, weight loss
- Neuro deficits if cord or roots affected
- Sx related to tb elsewhere→ lungs, GI
 
   
           
        
        
        
          
          
            
  
      
    
    
      
        
            - Objective weight loss, fever
- Pain over affected areas of spine
- Specific neuro deficits if cord or root compromise
 
   
           
        
       
      
      
  
  
    
      - Xrays and MRI of affected area
- Biopsy and culture of infected material